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See a sample rate comparisonCPT 27380 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Suture Tendon Infrapatellar Primary
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 27380 |
| Medicaid Fee Schedule | View Medicaid rates for 27380 |
National average reimbursement for CPT 27380 by major payers:
$853.51
$812.18
$872.91
$1,012.23
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CPT 27380
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$17,863.40Published rateResurgens Surgery Center LLC
$3,570.00Published rateSusquehanna Valley Surgery Center
$2,103.00Published rateSoutheast Atlanta Vascular Care, LLC
Southeast Atlanta Vascular Care LLC
$1,699.00Published rateBel Clair Ambulatory Surgical Treatment Center, Ltd., Bel Clair Surgical Center
Bel Clair Ambulatory Surgical Treatment Center Ltd
$960.00Published rate
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See a sample payer proposalCPT 27380 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 27380 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 27380 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 27380-CPT | Moderate | Suture Tendon Infrapatellar Primary |
| 27381-CPT | High | Surgical Repair Of Knee Tendon, Surgery To Use Stitches To Repair The Main Tendon Behind The Kneecap. The Procedure Involves A Graft Of Tendon Or Connective Tissue. |
| 27385-CPT | Moderate | Suture Quadriceps Rupture Primary |
| 27386-CPT | High | Surgical Repair Of Torn Muscle, Surgery Using Stitches To Repair A Torn Muscle In The Thigh (Hamstring Or Quadriceps). The Procedure Involves A Graft Of Tendon Or Connective Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 27380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 27380 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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